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Yıl:2012; Cilt: 1; Sayı: 1>> Özet
TAM METİN
Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi; 2012;1(1):43-51
Panik Bozukluğu, Somatizasyon Bozukluğu ve Hipokondriaziste Sağlık Kaygısı
ÖK Karapıçak, S Aslan, Ç Utku
Dörtyol Devlet Hastanesi, Hatay
Amaç: Sağlık kaygısı, kişinin bedensel belirtilerini yanlış yorumlamasına bağlı olarak, ciddi bir hastalığa yakalanmış
olduğu ya da yakalanacağı korkusunu taşımasıdır. Şiddetli sağlık kaygısı, hipokondriazis olarak da adlandırılır. Panik
bozukluğu ve somatizasyon bozukluğunda da bedensel duyumların yanlış yorumlanması sonucu, bir hastalığı olduğu
inancı oluşmaktadır.
Bu çalışmanın amacı, panik bozukluğu, somatizasyon bozukluğu ve hipokondriaziste görülen sağlık kaygısını araştırmak
ve sağlıklı gönüllülerle karşılaştırmaktır.
Yöntem: Hasta gruplarına, SCID-I uygulanmıştır. Hasta gruplarının, klinik durumlarını ve hastalık şiddetlerini belirlemek
amacıyla panik bozukluğu olan hastalara; Panik Agorafobi Ölçeği, Hamilton Anksiyete Değerlendirme Ölçeği (HADÖ),
Depresif Belirti Envanteri (DBE), somatizasyon bozukluğu ve hipokondriak hastalara; Belirti Yorumlama Ölçeği, Hamilton
Anksiyete Değerlendirme Ölçeği, Depresif Belirti Envanteri uygulanmıştır. Sağlıklı gönüllülerin var olan psikopatolojilerini
saptamak için Kısa Semptom Envanteri uygulanmıştır. Sağlık kaygısını değerlendirmek amacıyla hem hasta gruplarına
hem sağlıklı gönüllülere Sağlık Kaygısı Envanteri (Haftalık Kısa Form) uygulanmıştır.
Bulgular: Sonuç olarak bu çalışmada elde edilen bulgular hipokondriaziste sağlık kaygısı boyutunun çok önemli bir ana
element olduğunu desteklemiştir. Öte yandan panik bozukluk ve somatizasyon da sağlık kaygısının sık yaşandığı ruhsal
sorunlardır. Sağlık kaygısı bunların yanı sıra sağlıklı kişilerin ve depresyon tablolarının da bir parçası olarak karşımıza
çıkabilir.
Sonuç: Gelecek çalışmalarda sağlık kaygısının nasıl daha iyi yönetilebileceği, hangi psikoterapötik müdahalelerin daha
etkili olduğunun incelenmesi yararlı olacaktır.
Health Anxiety in Panic Disorder, Somatization Disorder and Hypochondriasis
Objective: Health anxiety is the fear of being or getting seriously sick due to the misinterpretation of physical symptoms.
Severe health anxiety is also named as hypochondriasis. Belief of having a disease due to the misinterpretation of physical
symptoms is also seen in panic disorder and somatization disorder.
The aim of this study is to search the health anxiety in panic disorder, somatization disorder and hypochondriasis and
compare it with healthy volunteers.
Method: SCID-I was used to determine psychiatric disorders in patient group. In order to assess the clinical state
and disease severity of the patient group; Panic and Agoraphobia Scale, Hamilton Anxiety Rating Scale, Inventory of
Depressive Symptomatology were used for patients with panic disorder and Symptom Interpretation Questionnaire,
Hamilton Anxiety Rating Scale, Inventory of Depressive Symptomatology were used for patients with somatization
disorder and hypochondriasis. Brief Symptom Inventory was used to assess psychopathology in healthy group. In order
to evaluate health anxiety of both groups, Health Anxiety Inventory-Short Form was used.
Results: Results of this study support that health anxiety is a significant major component of hypochondriasis. On the
other hand, health anxiety seems to be common in panic disorder and somatization disorder. Health anxiety also may be
a part of depression or present in healthy people.
Conclusion: Further studies are needed in order to search how to manage health anxiety appropriately and which
psychotherapeutic interventions are more effective.

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